Individual provider Active NPI

Jeffrey Ryan Kangas, M.D.

  • Anesthesiology Physician
  • Sterling Heights, MI
National Provider Identifier
1811250053
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301101594 Issued in MI
Practice address
40028 Kraft Dr
Sterling Heights, MI 48310-1761
Phone
(586) 201-4368
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 4301101594 MI Primary

Addresses

Primary practice location

40028 Kraft Dr
Sterling Heights, MI 48310-1761

Mailing address

40028 Kraft Drive
Sterling Heights, MI 48310
Phone (586) 201-4368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601001242 MI Practitioner - Anesthesiology 6002117264 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Critical Care Surgeons PLLCGroup PAC ID 3971645599, 5 clinicians
St John Anesthesiologists, PCGroup PAC ID 5799747283, 21 clinicians
Northstar Anesthesia of Michigan PLLCGroup PAC ID 9638481591, 192 clinicians

Practice addresses (Care Compare)

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

30671 Stephenson Hwy
Suite F
Madison Heights, MI 48071-1653
Phone (313) 466-4415

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3615

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Harper University Hospital Hospital, Detroit, MI, CCN 230104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301101594MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John Anesthesiologists, PC Anesthesiology CurrentSince Dec 1, 2024 Accepting new patients
Northstar Anesthesia of Michigan PLLC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Critical Care Surgeons PLLC CurrentSince Feb 1, 2025 Accepting new patients
Northstar Anesthesia of Michigan III PLLC CurrentSince Mar 19, 2021 Accepting new patients

Locations

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

30671 Stephenson Hwy
Ste F
Madison Heights, MI 48071
Phone (313) 446-4415

3601 W 13 Mile Rd
Royal Oak, MI 48073

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • Direct secure messaging: jkangas@direct.dmc.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1811250053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40028 KRAFT DRIVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-201-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40028 KRAFT DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483101761",
            "telephone_number": "586-201-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGAS",
        "first_name": "JEFFREY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301101594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.